Aaho Premier LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AAHO PREMIER LTC PHARMACY LLC

Doing business as

Core LTC Pharmacy

Practice address

225 W Silver Lake Rd
Fenton, MI 48430-2605

Phone

(810) 208-7900

NPI assigned

Dec 12, 2022

Last updated

Jan 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samreen Syeda

Title

Officer

Phone

(810) 208-7900

Specialties & licenses 1

Addresses

Other names 1

• CORE LTC PHARMACY Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1932810892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302605",
            "telephone_number": "810-208-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAHO PREMIER LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SYEDA",
        "authorized_official_first_name": "SAMREEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "810-208-7900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "225 W Silver Lake Rd",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484302605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CORE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.